SIBO

For the Jarrow Ideal Bowel Support for methane-predominant SIBO, what is the dose? One or two capsules per day?

Dr. Amy Nett: I generally do one capsule twice daily for two months and then one capsule for another month...

What is the dose for the Liver-GI Detox supplement for hydrogen sulfide SIBO?

Dr. Amy Nett: The dose for Liver-GI Detox would be two capsules twice daily. Then you asked, “What time of...

I remember the importance of SIBO retesting in the modules, but I don’t recall the modules mentioning retesting for stool testing. I’m assuming we would, and if so, how long after the treatment? Two weeks, like SIBO? Just the Doctor’s Data versus BioHealth?

Chris Kresser: Yes, it’s definitely important. I apologize if I didn’t make that clear, but we retest based on the...

Do you have any experience with a SIBO breath test that uses dextrose as a substrate? My daughter had one done by Commonwealth Labs, and I wonder if these results could be interpreted the same way as if it had been done using lactulose or glucose.

Dr. Amy Nett: Dextrose is chemically identical to glucose. Dextrose and glucose are effectively the same sugar, so if you...

Would you say it’s safe to treat yeast overgrowth as per the Doctor’s Data stool test if the stool test was done seven months ago? What sort of advice do you give to patients to prevent SIBO recurrence?

Dr. Amy Nett: OK, so there are two different questions here. Would I say it’s safe to treat yeast overgrowth...

An update on an Italian study on SIBO and lactulose transit time.

Chris Kresser: I want to start by talking a little bit about SIBO and breath testing. This was a question...

Regarding appendectomy as a risk factor for recurrent SIBO, can you elaborate on the functional role of the appendix and how its proper function may keep SIBO at bay? Also any insight into preventative measures for avoiding appendectomy?

Chris Kresser: I cannot elaborate on the functional role of the appendix and how its proper function may keep SIBO...

Do you see patients that have increased diarrhea when taking Xifaxan for SIBO or IBS? How can you decipher between Herx reaction versus adverse reaction in this case?

Chris Kresser: It’s a great question. We don’t see a lot of that. We certainly have seen patients who have...

If a SIBO patient had a severe reaction to Prescript-Assist, still has residuals of a rash six weeks after stopping, what is your recommendation for implementing probiotics in the SIBO and dysbiosis protocol?

Dr. Amy Nett: If a patient doesn’t tolerate it—it sounds like that was a terrible rash!—Prescript-Assist is out. OK. The...

For methane-predominant SIBO, do you simply add the Jarrow Ideal Bowel Support to the standard botanical protocol? Should this be taken at any particular time of the day?

Dr. Amy Nett: Yeah, for methane-predominant SIBO, if you’re talking about the botanical protocol, yes, what we do is we...

Prev Next